Monitoring teamwork: a narrative review. | PSNet

Provide Feedback |

Submit a Case

Register

Review

Monitoring teamwork: a narrative review.

February 22, 2017

Rutherford JS. Anaesthesia. 2017;72 Suppl 1:84-94.

View more articles from the same authors.

Anesthesiology was an early adopter of teamwork as a safety improvement strategy. This review explored models of assessing teamwork behaviors in anesthesiology. The authors found both implicit and explicit methods in place to monitor teamwork and determined that team training improves patient safety.

PubMed citation

Related Resources From the Same Author(s)

The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008.

September 9, 2015

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.

March 26, 2008

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

January 31, 2007

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.

June 12, 2019

Using standardised patients in an objective structured clinical examination as a patient safety tool.

March 6, 2005

Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.

April 30, 2008

Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.

December 13, 2006

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies?

March 11, 2009

How house officers cope with their mistakes.

March 6, 2005

Do house officers learn from their mistakes?

March 6, 2005

Encouraging patients to ask questions: how to overcome "white-coat silence."

July 10, 2013

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.

January 18, 2006

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional.

December 20, 2006

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

How teams work—or don’t—in primary care: a field study on internal medicine practices.

June 2, 2010

The evolution of a safety culture.

October 7, 2015

Medicines safety in anaesthetic practice.

May 22, 2019

Are verbal orders a threat to patient safety?

June 10, 2009

The teaching of a structured tool improves the clarity and content of interprofessional clinical communication.

April 29, 2009

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

September 10, 2008

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

November 29, 2006

Navigating towards improved surgical safety using aviation-based strategies.

April 9, 2008

Patient safety in cataract surgery.

July 20, 2005

Medication errors in anaesthesia and critical care.

April 3, 2005

Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.

July 24, 2013

A comparison of voluntarily reported medication errors in intensive care and general care units.

March 24, 2010

International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses.

January 30, 2005

Medication errors in neonatal and paediatric intensive-care units.

March 6, 2005

Computerized surveillance of adverse drug events in hospital patients.

March 27, 2005

Cognitive bias in clinical medicine.

November 7, 2018

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study.

March 6, 2005

Fatal flaws in clinical decision making.

January 30, 2019

Medication error prevention by pharmacists.

March 6, 2005

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.

April 9, 2008

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

February 25, 2009

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

April 6, 2011

An observational study of practice during transfer of patients from anaesthetic room to operating theatre.

October 25, 2006

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

December 21, 2005

Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions.

April 30, 2008

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.

November 11, 2009

Improving measurement in clinical handover.

August 19, 2009

Blink or think: can further reflection improve initial diagnostic impressions?

November 19, 2014

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

A preliminary taxonomy of medical errors in family practice.

March 6, 2005

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?

April 5, 2006

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

December 6, 2006

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Identifying what is known about improving operating room to intensive care handovers: a scoping review.

February 28, 2018

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

June 29, 2005

A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist.

October 30, 2013

Do medication samples jeopardize patient safety?

January 28, 2009

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.

September 23, 2015

Keeping patients safe in healthcare organizations: a structuration theory of safety culture.

May 11, 2011

Resilience in healthcare and clinical handover.

August 12, 2009

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.

August 26, 2009

Differences in the rates of patient safety events by payer: implications for providers and policymakers.

May 13, 2015

It's always something: hospital nurses managing risk.

January 30, 2013

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety.

November 20, 2019

Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

April 5, 2006

A 10-Rights framework for patient care quality and safety.

April 18, 2007

Work-arounds in health care settings: literature review and research agenda.

January 16, 2008

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out?

November 7, 2007

Factors influencing doctors' ability to calculate drug doses correctly.

February 14, 2007

Computer based medication error reporting: insights and implications.

June 21, 2006

Should operations be regionalized? The empirical relation between surgical volume and mortality.

March 6, 2005

Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative.

July 17, 2013

Getting doctors to report medical errors: project DISCLOSE.

July 5, 2006

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.

October 27, 2010

Patient safety begins with proper planning: a quantitative method to improve hospital design.

November 24, 2010

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.

February 16, 2011

Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK.

May 5, 2010

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

Medical and nursing staff highly value clinical pharmacists in the emergency department.

December 19, 2007

Applying modern error theory to the problem of missed injuries in trauma.

April 2, 2008

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

November 17, 2010

Impact of resident workload and handoff training on patient outcomes.

April 4, 2012

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy.

September 28, 2016

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

An intervention to decrease patient identification band errors in a children's hospital.

May 12, 2010

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.

January 14, 2009

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

April 21, 2010

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

May 26, 2010

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.

July 29, 2009

Second victims need emotional support after adverse events: even in a just safety culture.

April 3, 2019

Building a community engagement approach for patient safety improvement.

January 7, 2015

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Adoption of health information technology for medication safety in US hospitals, 2006.

May 28, 2008

Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior.

January 30, 2008

View More

Related Resources

Debriefing to improve interprofessional teamwork in the operating room: a systematic review.

March 6, 2024

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

Taking up the challenge to improve name and role recognition in the operating room.

February 7, 2024

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.

October 11, 2023

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.

September 27, 2023

Guidelines on Human Factors in Critical Situations 2023.

August 9, 2023

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center.

June 21, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel.

April 19, 2023

An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.

April 5, 2023

Cognitive biases in surgery: systematic review.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

Crisis recovery in surgery: error management and problem solving in safety-critical situations.

September 14, 2022

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.

June 15, 2022

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review.

April 27, 2022

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Systematic review of intraoperative anesthesia handoffs and handoff tools.

July 21, 2021

Automation failures and patient safety.

December 2, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.

April 15, 2020

Impact of the World Health Organization surgical safety checklist on patient safety.

June 12, 2019

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

June 5, 2019

Medicines safety in anaesthetic practice.

May 22, 2019

WebM&M Cases

Good Catch in the Operating Room

May 1, 2019

Trends in anesthesia-related liability and lessons learned.

March 6, 2019

Operating room fires.

February 6, 2019

Creating a safer operating room: groups, team dynamics and crew resource management principles.

June 6, 2018

View More

See More About The Topic

Health Care Providers

Surgical Complications

Epidemiology of Errors and Adverse Events

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364